(a)

1. (1) Housekeeping services of the nursing home shall be under the direction of a full-time experienced person.
2. (2) The facility shall have on duty one (1) housekeeper per thirty (30) residents in order to maintain the nursing home.
3. (3) Housekeeping services shall be provided daily, including weekend daytime coverage and for clean up after the evening meal.
4. (4) Additional staff will be required if deficiencies are found that relate to personnel shortage.

(d)

1. (1) All rooms and every part of the building (exterior and interior) shall be kept clean, orderly, and free of offensive odors.
2. (2) Bath and toilet facilities and food areas shall be clean and sanitary at all times. (e) Rooms shall be cleaned and put in order daily.

(g)

1. (1) After discharge of a patient, the room and its contents shall be thoroughly cleaned, aired, and disinfected if necessary.
2. (2) Clean linens shall be provided.
3. (3) All patients' utensils shall be washed and sanitized.

(h)

1. (1) Polish or wax used on floors shall be of a type that provides a nonslip finish.
2. (2) Floors shall be maintained in a clean and safe condition.

(i)

1. (1) Deodorants shall not be used to cover up odors.

2. (2) Odor control shall be achieved by:

   1. (A) Prompt cleansing of:

(i) Bedpans;

1. (ii) Urinals; and

   1. (iii) Commodes;
   2. (B) Prompt and proper care of patients and soiled linens; and
   3. (C) Approved ventilation.

(j) Attics, cellars, beneath stairs, and similar areas shall be kept clean of accumulation of:

1. (1) Refuse;
2. (2) Old newspapers; and
3. (3) Discarded furniture.

(k) Storage areas shall be kept in a safe and neat order.

1. (l) Combustibles such as rags and cleaning compounds and fluids shall be kept in closed metal containers and should be labeled as to contents.

   1. (m) Buildings and grounds shall be kept free from refuse and litter.

(p) Matches and other flammable or dangerous items shall be:

1. (1) Stored in metal containers with tight-fitting lids; and
2. (2) Labeled as to contents.

(r)

1. (1) All inside openings to attics and false ceilings shall be kept closed at all times.
2. (2) The attic area shall be clean at all times.

(u)

1. (1) Garbage must be kept in approved containers with tight-fitting covers.
2. (2) The containers must be thoroughly cleaned before reuse.

3. (3) Garbage or rubbish and trash shall be disposed of by:

   1. (A) Incineration;
   2. (B) Burial;
   3. (C) Sanitary fill; or
   4. (D) Other approved methods.

4. (4) Garbage areas shall be kept clean and in a state of good repair.

   1. (v)
5. (1) All poisons, bleaches, detergents, and disinfectants shall be kept in a safe place accessible only to employees.
6. (2) They shall not be kept in storage areas or containers previously containing food or medicine.

7. (3) Containers must have a label that states:

   1. (A) Name;
   2. (B) Ingredients; and
   3. (C) Antidote.

(w) Unnecessary accumulation of possessions, including equipment and supplies of patients, staff, or the home's owner, shall not be kept in the home.

1. (x) A minimum of one (1) full-time laundry worker must be provided for each seventy (70) patients in the facility to ensure that:
2. (1) Clean linen and clothing is provided each patient; and
3. (2) Dietary and nursing personnel are not required to perform laundry duties.

(y)

1. (1) Facilities that perform their own pest control, rather than employing licensed pest control experts or exterminators, and utilize restricted-use pesticides, shall be licensed by the State Plant Board for the use of the pesticides.
2. (2) To obtain a list of restricted-use pesticides, please contact the State Plant Board.